MRS. GLORIA ANNETTE BACA (NPI# 1396049789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396049789 |
| Entity Type | Individual |
| Full Name | MRS. GLORIA ANNETTE BACA |
| Credential | FNP |
| Practice Address |
3864 N 27th Ave Phoenix AZ 85017-4703 |
| Mailing Address |
3003 N Central Ave Ste 200 Phoenix AZ 85012-2914 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 6029958503 |
| Mailing Telephone | 6026856000 |
| Mailing Fax Number | 6026856002 |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP0298 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
RN063356 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 151233 | 05 |
| Street Address |
3864 N 27TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85017-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275503559 | Judith Ann Levin | Nurse Practitioner | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2006-01-26 |
| 1255938973 | Kristen Jane Pyland | Pharmacist | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2020-10-06 |
| 1366069072 | Vicki Robin Spahr | Counselor | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2020-06-29 |
| 1912521477 | Chelsea Sneller | Social Worker | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2020-06-01 |
| 1265068803 | Jessica Renee Jouas | Social Worker | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2020-03-16 |
| 1093363368 | Melanie R Stasny | Counselor | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2019-08-29 |
| 1801363114 | Terros Health | Clinic/Center | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2018-10-25 |
| 1609367325 | Ijeoma P Ogbuchiekwe | Counselor | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2018-05-29 |
| 1164919064 | Christine Queval-chung | Nurse Practitioner | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2018-04-16 |
| 1578064382 | Tracie Denie Johnson-wagner | Nurse Practitioner | 3864 N 27th Ave, Phoenix, AZ 85017-4703 | 2018-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169282 | Deborah Carter | Specialist/Technologist | 5346 N. 29th Ave., Phoenix, AZ 85017 | 2020-09-17 |
| 1730671207 | Michael Carl Smith | Assisted Living Facility | 5736 N 33rd Ave, Phoenix, AZ 85017 | 2018-05-31 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1295259281 | Happy Home Care | Home Health | 4550 N. Black Canyon Hwy Road, Phoenix, AZ 85017 | 2017-08-01 |
| 1851848493 | Horeb Transportation LLC | Non-emergency Medical Transport (VAN) | 5718 N Black Canyon Hwy, 36, Phoenix, AZ 85017 | 2016-09-01 |
| 1932565942 | Urgent Pain, LLC | Contractor | 6025 N. 27th Ave, Suite 6, Phoenix, AZ 85017 | 2016-01-06 |
| 1457766172 | Lindsay Allison Love | Social Worker | 3306 W. Catalina Dr., Phoenix, AZ 85017 | 2014-06-23 |
| 1437592433 | Maya Medical Services | Clinic/Center | 2908 W. Camelback Rd., Phoenix, AZ 85017 | 2013-04-10 |
| 1801089685 | Jonnie Arnold | Counselor | 3400 Grand Ave, Phoenix, AZ 85017 | 2007-08-24 |
| 1851414890 | Corpus Christi Home Care and Hospice LLC | Hospice Care, Community Based | 3001 W Indian School Rd, Suite #26, Phoenix, AZ 85017 | 2007-04-06 |
| Find all providers in zip 85017 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.